team@acumeninsurance.com.au
Email the team
1300 605 075
Give us a call
Make a Payment
About
Aviso Group
About Aviso Group
Industry Partners
Products & Services
Business Insurance
Personal Insurance
Specialist Insurance
Industries
Claims
Key Documents & Resources
Financial Services Guide (FSG)
Supporting Vulnerable Persons
Insurance Brokers Code of Practice
Calculators
News
Contact us
toggle menu
team@acumeninsurance.com.au
Email the team
1300 605 075
Give us a call
Make a Payment
About
Aviso Group
About Aviso Group
Industry Partners
Products & Services
Business Insurance
Personal Insurance
Specialist Insurance
Industries
Claims
Key Documents & Resources
Financial Services Guide (FSG)
Supporting Vulnerable Persons
Insurance Brokers Code of Practice
Calculators
News
Contact us
toggle menu
Step
1
of
4
- Your Quote Estimate
25%
Hidden
Branch
Hidden
Sales Team
Hidden
Lead Source
Hidden
Service Team
Hidden
TYPE OF CLIENT
Hidden
Occupation
Hidden
Industry
Hidden
Compliance Type
Hidden
Email Policy Documents?
Step 1 - Your Quote Estimate
Average number of students coached per week?
*
Public Liability Sum Insured Required
*
none
$10m
$20m
Do you want Sports Injury cover included in the quote?
*
Yes
No
Do you want Coaching Equipment cover included in the quote?
*
Yes
No
Your Quote Estimate Is $
If you wish to apply for cover please complete steps 2 - 4 to finalise the quote.
Step 2 - Your Coaching Details
I am taking out a new policy for the first time
*
Yes
No
What is the renewal date of your policy?
*
DD slash MM slash YYYY
Are you currently insured with Sportscover?
*
Yes
No
Which sport(s) do you coach?
Sports starting with A to B
Sports starting with C to H
Sports starting with I to R
Sports starting with S to Z
If the sport you coach is not on a list, please enter it here.
Sports: A to B
Abseiling
After-School Activity
Aerobics
American Football/Gridiron
Angling
Aqua Zumba
Archery
Athletics
Australian Rules Football
Axeman
Badminton
Baseball
Basketball
Billiards
BMX
Bocce
Body Attack
Body Balance
Body Combat
Body Jam
Body Pump
Body Step
Body Vive
Bowhunters
Bowls
Boxercise
Boxing (Amateur)
Sports: C to H
Calisthenics
Camogie
Canoeing
Cheerleading
Chess
Circuit Training
Climbing (Indoor)
Cricket
Croquet
Cross Fit
Curling
Darts
Diving (Board)
Dodgeball
Exercise Class
Fencing
Floorball
Football/Soccer
Gaelic Football
Golf
Gymnastics
Handball
Hockey (Field)
Hockey (Inline)
Hockey (Roller)
Hula Hoop Classes
Hurling
Sports: I to R
Ice Hockey
Ice Skating
Inline Skating
Kayaking
Korfball
Lacrosse
Marching
Mountain Biking
Netball
Octopush
Orienteering
Personal Trainer
Petanque
Pilates
Pole Fit
Powerlifting
Racquet Ball
Rogaining
Roller Skating
Rounders
Rowing
Rugby League
Rugby Union
Running Yoga
Sports: S to Z
Sailing
Skipping
Snooker
Softball
Spinning Classes
Squash
Surfing
Swimming (open water)
Swimming (pool)
Synchronised Swimming
T-ball
Table Tennis
Ten Pin Bowling
Tennis
Thump Boxing
Touch Football
Triathlon
TRX Training
Ultimate Frisbee
Volleyball
Wakeboarding
Water Polo
Weight Lifting
Windsurfing
Zumba
Number of staff including you?
*
Do you coach at your home or own a coaching facility?
*
Yes
No
Ages of students coached?
*
0 - 5
6 - 12
13 - 18
18+
Are all coaches including you “Working With Children Checked”?
*
Yes
No
Do you conduct any overnight coaching camps?
*
Yes
No
Are you and those coaching for you, and/or on your behalf, qualified to a minimum standard as recognised by the National Sporting Organisation for the sport(s) being instructed?
*
Yes
No
Please click the sports coaching qualifications that you and/or your staff hold?
*
University Degree or Diploma in Sports Coaching related field i.e. Exercise Science
Certificate 4
Certificate 3
Level 3
Level 2
Level 1
Other
None
Please enter the sports coaching qualification here.
*
Will there always be at least one First Aid trained coach in attendance?
*
Yes
No
What is your estimated annual turnover?
*
Main coaching location
*
Please list any councils or landowners that require their interest to be noted on your Insurance Certificate (or NA if not applicable)
*
Step 3 - Your Details
Name
*
First
Last
Company or Sole Trader Name
*
Business Trading Name
*
ABN
*
Postal Address
*
Address Line 1
Address Line 2
City
State
Postcode
Your Phone Number
*
Hidden
Your Email
Your Email
*
Step 4 - Your Insurance History / Duty of Disclosure
In the past 5 years have you or your staff had any Public Liability or Professional Indemnity made against you or had a student lodge a Sports Injury claim or had a claim relating to your Coaching Equipment?
*
Yes
No
If Yes please describe
*
Have there been any incidents in the last 5 years that may result in claims against you or your staff?
*
Yes
No
In the past 10 years have you or any Insured person / business / corporation / director had any insurer decline any proposal from inception or decline any claim, cancelled or refused to renew a policy or imposed special conditions?
*
Yes
No
In the past 10 years have you or any Insured person/business/corporation/director ever been declared bankrupt or involved in any form of insolvency administration and not been discharged for at least one year?
*
Yes
No
In the past 10 years have you or any Insured person/business/corporation/director been convicted or have charges pending, for any criminal offence, including arson, or involving dishonesty of any kind?
*
Yes
No
Are you aware of any exceptional circumstances, not covered above, that would influence the insurer's decision to accept the risk of insurance, or alter the terms? If Yes, provide details (acceptance will be required from the Insurer/s)
*
Yes
No
If Yes please describe
Do you authorise us to give to, or obtain from, other insurers or any reference service, any information relating to insurance held by you or any claim in relation thereto?
*
Yes
No
I have reviewed the Financial Services Guide
*
Yes
No
Financial Services Guide
I would like to proceed with cover from
*
DD slash MM slash YYYY
Your Quote Is $
By clicking Submit, you consent to our
Privacy Policy
. Please click the Submit button if you would like to request cover. Please note that cover is not in place until an Acumen Insurance staff member confirms cover back to you in writing.
Phone
This field is for validation purposes and should be left unchanged.
Δ
Have a question?
Our insurance brokers are standing by, ready to help.
Get in touch
mailto:team@acumeninsurance.com.au
Contact
toggle menu
About
Aviso Group
About Aviso Group
Industry Partners
Products & Services
Business Insurance
Personal Insurance
Specialist Insurance
Industries
Claims
Key Documents & Resources
Financial Services Guide (FSG)
Supporting Vulnerable Persons
Insurance Brokers Code of Practice
Calculators
News
Contact us
1300 605 075
team@acumeninsurance.com.au
Make a Payment